实施新的护理模式:领导力反思和建议
Martha L Grubaugh1, Ellen Seymour, Desirea Ulibarri
1Author Affiliations: Research Nurse Scientist and Assistant Professor at UCHealth University of Colorado Hospital and University of Colorado College of Nursing, Aurora, Colorado (Dr Grubaugh); Director of Clinical Strategy at UCHealth, Aurora, Colorado (Ms Seymour; Nurse Manager at UCHealth University of Colorado Hospital, Aurora, Colorado (Ms Ulibarri); Nurse Manager at UCHealth Memorial Hospital Central, Colorado Springs, Colorado (Ms Kieffer); and Nursing Manager at UCHealth Greeley Hospital, Greeley, Colorado (Ms Gallo).
Nursing administration quarterly
|March 11, 2025
概括
护士经理人 护士经理人
科学领域:
- 护理领导力 护理领导力
- 医疗保健管理的管理
- 患者护理模式的模型
背景情况:
- 医疗保健系统面临着劳动力挑战和不断增长的患者敏度.
- 为了解决这些问题,正在探索新的患者护理交付模式.
- 护士经理在实施护理模式变革方面发挥的作用至关重要,但他们的经验未得到充分研究.
研究的目的:
- 探讨护士经理实施新的基于团队的患者护理模式的经验.
- 确定影响成功采用创新的护理交付策略的关键因素.
- 在重大组织变革期间收集支持护士经理的见解.
主要方法:
- 与三个早期采用护士经理进行了定性,以问题为指导的反思练习.
- 这项研究重点关注了一种新的以团队为基础的护理模式,即在11个医疗外科单位实施的"护理合作伙伴".
- 反思集中在通过实施过程的护士经理的旅程.
主要成果:
- 出现的关键主题是:有效的资源配置,专业的治理,清晰的沟通,适应性监测和维持策略,团队庆祝和强有力的领导支持.
- 成功实施需要解决护士经理的工作量,并确保适当的能力.
- 一个分阶段的方法和战略伙伴关系被确定为关键要素.
结论:
- 实施新的护理模式需要对护士经理提供全面支持.
- 解决工作负载,资源和沟通等运营因素对于成功至关重要.
- 护理合作伙伴模式强调了授权注册护士 (RN) 和未经许可的辅助人员 (UAP) 作为护理合作伙伴的重要性.
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